CPT 2011: 43327, 43328 Lead the Way for Fundoplasty Overhaul

Why This Topic Matters

These changes affect how common upper GI surgical procedures are documented and reported, especially when multiple operative components occur in the same case. Understanding the updated CPT framework helps support accurate claim submission and consistent use of the revised code families.

Article Sections

1. Tip 1: Understand Pathophysiology

   Introduces the clinical context for hiatal hernia and fundoplication procedures. It frames the anatomy and general surgical concepts discussed in the coding update.

2. Tip 2: Use 43332-43337 for Open Hiatal Hernia Repair With/Without Fundoplication

   Explains the revised CPT structure for open paraesophageal hiatal hernia repair and the way the article groups these options by surgical approach and related operative elements. It also places the update in the context of prior deleted codes.

3. Tip 3: Open 'Fundoplication Only' Earns 43327-43328

   Covers the separate CPT options for open fundoplasty when hernia repair is not part of the procedure. The section focuses on the new code family and the approach-based organization of the update.

4. Tip 4: Add +43338 for Open Esophageal Lengthening

   Describes the additional code category associated with open esophageal lengthening performed alongside fundoplasty. It also notes the relationship to prior coding and the revised CPT structure.